老年人虐待筛查和干预的研究重点:老年急诊护理应用研究(GEAR)网络范围审查和共识声明。

IF 1.6 2区 心理学 Q3 GERONTOLOGY
Jay Kayser, Nancy Morrow-Howell, Tony E Rosen, Stephanie Skees, Michelle Doering, Sunday Clark, Karen Hurka-Richardson, Rayad Bin Shams, Thom Ringer, Ula Hwang, Timothy F Platts-Mills, The Gear Network
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引用次数: 7

摘要

老年急诊护理应用研究(GEAR)网络(1)对当前关于识别和解决在急诊科接受护理的老年人虐待的干预措施的文献进行了范围综述,(2)利用这一综述对知识发展的研究问题进行了优先排序。两个问题指导了范围审查:与有针对性的筛查或常规做法相比,普遍的急诊科筛查对确定的虐待老年人病例、安全结果和医疗保健利用的影响是什么?急诊干预与常规护理对遭受虐待的老年人的安全、健康、法律和心理社会影响是什么?我们检索了5个文章数据库。通过已确定的出版物、PsychInfo和Google Scholar的参考列表找到了其他材料。结果在协商一致的会议上进行了讨论;利益相关者投票决定优先考虑研究问题。没有发现任何研究直接解决关于评估策略的第一个问题,但确定了在急诊科用于老年人虐待筛查的四种工具。对于第二个问题,我们找到了六篇关于在急诊科对虐待老年人进行干预的文章;但是,没有一个直接涉及相对效力的问题。基于这些发现,GEAR参与者确定了未来研究的五个优先问题——两个与筛查有关,两个与干预有关,一个包括两者。总之,仍然需要进行研究,以确定在急诊科进行虐待老人评估和干预的最佳做法。尽管存在实践和伦理方面的挑战,但仍需要严格的实验研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Research priorities for elder abuse screening and intervention: A Geriatric Emergency Care Applied Research (GEAR) network scoping review and consensus statement.

The Geriatric Emergency Care Applied Research (GEAR) Network (1) conducted a scoping review of the current literature on the identification of and interventions to address elder abuse among patients receiving care in emergency departments and (2) used this review to prioritize research questions for knowledge development. Two questions guided the scoping review: What is the effect of universal emergency department screening compared to targeted screening or usual practice on cases of elder abuse identified, safety outcomes, and health care utilization?; and What is the safety, health, legal, and psychosocial impact of emergency department-based interventions vs. usual care for patients experiencing elder abuse? We searched five article databases. Additional material was located through reference lists of identified publications, PsychInfo, and Google Scholar. The results were discussed in a consensus conference; and stakeholders voted to prioritize research questions. No studies were identified that directly addressed the first question regarding assessment strategies, but four instruments used for elder abuse screening in the emergency department were identified. For the second question, we located six articles on interventions for elder abuse in the emergency department; however, none directly addressed the question of comparative effectiveness. Based on these findings, GEAR participants identified five questions as priorities for future research - two related to screening, two related to intervention, and one encompassed both. In sum, research to identify best practices for elder abuse assessment and intervention in emergency departments is still needed. Although there are practical and ethical challenges, rigorous experimental studies are needed.

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来源期刊
CiteScore
3.30
自引率
15.80%
发文量
17
期刊介绍: The Journal of Elder Abuse & Neglect is the peer-reviewed quarterly journal that explores the advances in research, policy and practice, and clinical and ethical issues surrounding the abuse and neglect of older people. This unique forum provides state-of-the-art research and practice that is both international and multidisciplinary in scope. The journal"s broad, comprehensive approach is only one of its strengths—it presents training issues, research findings, case studies, practice and policy issues, book and media reviews, commentary, and historical background on a wide range of topics. Readers get tools and techniques needed for better detecting and responding to actual or potential elder abuse and neglect.
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